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卫生人力:有效应对欧洲区域 COVID-19 大流行的核心。

The health workforce: Central to an effective response to the COVID-19 pandemic in the European Region.

机构信息

Country Health Policies and Systems, WHO Regional Office for Europe, Copenhagen, Denmark.

出版信息

Int J Health Plann Manage. 2021 May;36(S1):9-13. doi: 10.1002/hpm.3150. Epub 2021 Mar 24.

Abstract

COVID-19 has reinforced the centrality of health workers at the core of a well performing and resilient health system. It has concomitantly exposed the risks of staffing and skills shortages and the importance of protecting the health workforce. The present commentary focuses on highlighting some of the lessons learnt, challenges and future needs of the health workforce in Europe in the context of COVID-19. During the pandemic innovative and flexible approaches were implemented to meet increasing demand for health workers and new skills and responsibilities were adopted over a short period of time. We have seen the rapid adaptation and use of new technologies to deliver care. The pandemic has underlined the importance of valuing, protecting and caring for our health workforce and the need to invest appropriately and adequately in the health workforce to have sufficient, capable and well-motivated health workers. Some of the main challenges that lie ahead of us include the imperative for better investment, to need to improve recruitment and retraining whilst better retaining health workers, a focus on domestic sustainability, redeploying and developing new skills and competences among health workers, enabling more effective multi-professional collaboration and team work, improving the quality of education and training, increasing the public health focus and promoting ethical and sustainable international recruitment of health workers. The WHO European Region through its European Programme of Work 2020-2025 is fully committed to support countries in their efforts to continue to respond to COVID-19 and whilst addressing upcoming health workforce challenges.

摘要

COVID-19 凸显了卫生工作者在运行良好和有弹性的卫生系统中的核心地位。同时,它也暴露了人员配备和技能短缺的风险,以及保护卫生工作者的重要性。本评论重点强调了在 COVID-19 背景下欧洲卫生人力所汲取的一些经验教训、面临的挑战和未来需求。在大流行期间,为了满足对卫生工作者的需求增加,创新性和灵活性的方法得以实施,并且在短时间内采用了新技能和新职责。我们已经看到新技术在提供医疗服务方面的快速适应和使用。大流行凸显了重视、保护和关爱我们卫生工作者的重要性,以及需要在卫生人力方面进行适当和充分的投资,以拥有充足、有能力和积极性高的卫生工作者。我们未来面临的一些主要挑战包括必须进行更好的投资,需要改善招聘和再培训,同时更好地留住卫生工作者,关注国内可持续性,在卫生工作者中重新部署和发展新技能和能力,实现更有效的多专业协作和团队合作,提高教育和培训质量,增强公共卫生重点以及促进卫生工作者的道德和可持续的国际招聘。世卫组织欧洲区域通过其 2020-2025 年欧洲工作方案,全力支持各国继续应对 COVID-19,同时应对即将出现的卫生人力挑战。

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